Page 51 - ecatalogJan14.indd

NDC/PCode/UPC Mfr. Item # Description AWP Pkg J-Code
47335-0035-40 CAR 40702 Zoledronic 4Mg/5Ml Vl 966.15 Q2051
53150-0871-01 AMN 41339 Zoledronic 4Mg/5Ml Vl 708.00 Q2051
25021-0801-66 SAG 40683 Zoledronic 4Mg/5Ml Vl 420.00 Q2051
25021-0830-82 SAG 40685 Zoledronic 5Mg/100Ml Bag 1196.56 Q2051
55111-0688-52 DR 40762 Zoledronic 5Mg/100Ml Vl 1004.42 Q2051
23155-0186-31 HER 40934 Zoledronic 5Mg/100Ml Vl 994.08 Q2051
ZOMETA KIT BES 22281 Zoledronic Infusion Kit
00006-0568-40 MER 28816 Zolinza 100Mg Cap 120 12543.65
00078-0590-61 NOV 38534 Zometa Inj 4Mg/100Ml Rtu Sdv 1074.73 Q2051
00078-0387-25 NOV 23328 Zometa Inj 4Mg/5Ml Vl 1074.73 Q2051
00006-4963-00 MER 28146 Zostavax Sdv 0.65Ml W/Diluent ( R ) 208.61
00006-4963-41 MER 28145 Zostavax Sdv0.65Ml W/Dil 10/Pk ( R ) 1988.29
43288-0104-10 PRA 40821 Zuplenz 4Mg Flm Ud 10 165.00
43288-0108-10 PRA 40822 Zuplenz 8Mg Flm Ud 10 165.00
57894-0150-12 ORT 37906 Zytiga 250Mg Tab 120 8203.91
( R ) - Indicates Refrigerated Drug Item
PRICES ARE SUBJECT TO CHANGE